The AAO FORUM FOR OSTEOPATHIC THOUGHT JOURNALOfficial Publication of the American Academy of Osteopathy TRADITION SHAPES THE FUTURE VOLUME 22 NUMBER 1 MARCH 2012 Special Edition The American Academy of Osteopathy is your voice . ... in teaching, advocating, and researching the science, art and philosophy of osteopathic medicine, emphasizing the integration of osteopathic principles, practices and manipulative treatment in patient care. The AAO Membership Committee invites you to join the • Free subscription to the new AAO online member newsletter. American Academy of Osteopathy as a 2011-2012 member. • Access to the active members section of the AAO Web site The AAO is your professional organization. It fosters the which will be enhanced in the coming months to include core principles that led you to choose to become a Doctor of many new features including resource links, job bank, and Osteopathy. much more. • Discounts in advertising in AAO publications, on the For just $5.01 a week (less than a large specialty coffee at your website, and at the AAO’s Convocation. favorite coffee shop) or just 71 cents a day (less than a bottle of • Access to the American Osteopathic Board of water), you can become a member of the specialty professional Neuromusculoskeletal Medicine—the only existing organization dedicated to the core principles of your profession! certifying board in manual medicine in the medical world Your membership dues provide you with: today. • A national advocate for osteopathic manipulative medicine • Maintenance of an earned Fellowship program to recognize (including appropriate reimbursement for OMM services) excellence in the practice of osteopathic manipulative with osteopathic and allopathic professionals, public policy medicine. makers, the media and the public. • Promotion of research on the efficacy of osteopathic • Referrals of patients through the Search for Physician tool on medicine. the AAO website, as well as calls to the AAO office. • Supporting the future of the profession through the Student • Discounts on quality educational programs provided by AAO American Academy of Osteopathy on college campuses. at its Annual Convocation and workshops. • Your professional dues are deductible as a business expense. • New online courses now available. If you have any questions regarding membership or renewal • Networking opportunities with your peers. membership, please contact Susan Lightle at (317) 879-1881 or • Discounts on publications in the AAO Bookstore. [email protected]. Thank you for supporting the • Complimentary subscription to the AAO Journal published American Academy of Osteopathy. electronically four times annually. Founding Chair of Osteopathic Manipulative Medicine The proposed Campbell University School of Osteopathic Medicine (CUSOM) is currently in the accreditation review process, with anticipated matriculation in August 2013. The Chair of Osteopathic Manipulative Medicine (OMM) is responsible for OMM program development, including participation in designing the OMM curriculum, as well as assisting the Associate Dean for Biomedical Affairs and Associate Dean for Clinical Affairs with development of the pre- clinical and clinical curriculum. This role includes faculty recruitment and faculty development to ensure curriculum is successfully delivered to the CUSOM students. Other responsibilities include the supervision of the school’s OMM faculty and students to advance the student’s professionalism, knowledge, skills, and competencies to the level required for a graduate Osteopathic physician. This is a wonderful opportunity to help develop a creative, vibrant, student-centered learning community in a faith-based environment. Applicants must be AOA board-certifi ed through the American Osteopathic Board of Neuromusculoskeletal Medicine or have received a Certifi cate of Special Profi ciency in Osteopathic Manipulative Medicine (C-SPOMM). Candidates with previous academic experience will be given preference. All offers are subject to background checks and reference reviews. Send CV, letter of application, and three references electronically to: Brian Kessler, DO Associate Dean for Clinical Affairs [email protected] CUSOM is committed to affi rmative action, equal opportunity and the diversity of its workforce. www.campbell.edu/cusom Page 2 The AAO Journal Volume 22, Issue 1, March 2012 THE AAO Forum for Osteopathic Thought OURNAL Official Publication of the American Academy of Osteopathy JTradiTion ShapeS The FuTure • Volume 22 number 1 • march 2012 The mission of the American Academy of Osteopathy is to teach, 3500 DePauw Boulevard advocate and research the science, art and philosophy of osteopathic Suite 1080 medicine, emphasizing the integration of osteopathic principles, Indianapolis, IN 46268 practices and manipulative treatment in patient care. P: (317) 879-1881 F: (317) 879-0563 IN THIS ISSUE: www.academyofosteopathy.org AAO Calendar of Events ........................................................................ 8 American Academy of Osteopathy Component Society Calendar of Events ............................................... 91 Michael A. Seffinger, DO ....................................................President Jane E. Carreiro, DO .................................................. President-Elect REGULAR FEATURES: Diana L. Finley, CMP ......................................... Executive Director View From the Pyramids ........................................................................ 4 Murray R. Berkowitz, DO, MA, MS, MPH Editorial Advisory Board Murray R. Berkowitz, DO, MA, MS, MPH ORIGINAL CONTRIBUTIONS: Denise K. Burns, DO, FAAO The Ram of Reason Seal: Musings on its Origin and Meaning .............. 9 Eileen L. DiGiovanna, DO, FAAO Raymond J. Hruby, DO, MS, FAAO Eric J. Dolgin, DO What’s in a Name? A Brief Look at the History of Board Certification Claire M. Galin, DO in Neuromusculoskeletal Medicine and Osteopathic Manipulative William J. Garrity, DO Medicine ............................................................................................... 12 Stephen I. Goldman, DO, FAAO Raymond J. Hruby, DO, MS, FAAO Stefan L. J. Hagopian, DO, FAAO John G. Hohner, DO, FAAO 75TH ANNIVERSARY HISTORICAL REPRINTS: Raymond J. Hruby, DO, MS, FAAO The Neural Basis of the Osteopathic Lesion ......................................... 22 Brian E. Kaufman, DO Irvin M. Korr, PhD Hollis H. King, DO, PhD, FAAO The Role of the Fascae in the Maintenance of Structural Integrity ...... 31 Paul R. Rennie, DO, FAAO Leon E. Page, DO Hallie J. Robbins, DO Mark E. Rosen, DO Osteopathic Rhythmic Resistive Duction Therapy ............................... 36 T. J. Ruddy, MD, DO, DSc (Hon.), FOCO, FACOS The AAO Journal Reflex Relationships of Paravertebral Muscles .................................... 48 Murray R. Berkowitz, DO, MA, MS, MPH...............Scientific Editor John Nelson Elbe, PhD Diana Finley, CMP .................................................Supervising Editor Tessa Boeing .............................................................Managing Editor Spontaneous Release by Positioning .................................................... 54 Lawrence Hugh Jones, DO Structural Pelvic Function ..................................................................... 63 The AAO Journal is the official publication of the American Academy of Osteopathy. Issues are published in March, June, September, and Fred L. Mitchell, DO, FAAO December each year. Respiratory and Circulatory Care: The Conceptual Model .................. 86 The AAO Journal is not responsible for statements made by any contributor. Although all advertising is expected to conform to Advertising rates for The AAO Journal; official publication of the ethical medical standards, acceptance does not imply endorsement by American Academy of Osteopathy. The AAO and AOA affiliate this journal. organizations and members of the Academy are entitled to a 20-percent discount on advertising in this journal. Call the AAO at (317) 879-1881 Opinions expressed in The AAO Journal are those of authors or for more information. speakers and do not necessarily reflect viewpoints of the editors or official policy of the American Academy of Osteopathy or the Advertising Rates institutions with which the authors are affiliated, unless specified. Placed 1 time Placed 2 times Placed 4 times Full Page 7.5” x 10” $600 $575 $550 Send address/e-mail address changes to: Half Page 7.5” x 5” $400 $375 $350 [email protected] Third Page 7.5” x 3.3” $300 $275 $200 Fourth Page 3.75” x 5” $200 $175 $150 Professional Card 3.5” x 2” $60 Classified $1.00 per word Volume 22, Issue 1, March 2012 The AAO Journal Page 3 View From the pyramids “Yesterday, Today, and Tomorrow” – a look at our past with a view toward our future murray r. berkowitz, do, ma, mS, mph “The mission of the American Academy of thanks and acknowledgement to David Boesler, DO, then Osteopathy is to teach, advocate, and research the science, Chairman of OMM at Des Moines, Scott Sutherland, DO; art and philosophy of osteopathic medicine, emphasizing Donald D. Downing, DO, FAAO; and Gerald J. Cooper, the integration of osteopathic principles, practices and DO, FAAO, FCA. These men were my first teachers manipulative treatment in patient care.” (emphasis of OMM. They introduced me to the science and art of added) osteopathic manipulation, and to the underlying osteopathic principles and practices of osteopathic medicine. They I am honored and humbled to be the